Healthcare Provider Details

I. General information

NPI: 1578840948
Provider Name (Legal Business Name): HEALTH BUSINESS & INFORMATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2011
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3185 AZALEA DR
NORTH CHARLESTON SC
29405-8211
US

IV. Provider business mailing address

PO BOX 12310
CHARLESTON SC
29422-2310
US

V. Phone/Fax

Practice location:
  • Phone: 843-270-3723
  • Fax:
Mailing address:
  • Phone: 843-225-3493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number4143
License Number StateSC

VIII. Authorized Official

Name: MS. J REBECCA MCSWAIN
Title or Position: OWNER
Credential: APRN, MSN, CNM
Phone: 843-270-3723